Pace e Bene Peace and Nonviolence Pilgrimage to Assisi Application
Thank you for considering joining the Pace e Bene staff on this incredible journey!

We encourage you to fill out the application below if you are interested in joining us. If you are accepted, a deposit of $500 will be due within 30 days to secure your spot. Final payment will be due December 1, 2018. You'll be able to pay with check or credit card.

Please fill out the form below. If you have any questions contact Ryan Hall at info@paceebene.org or 510-268-8765

FULL NAME *
Your answer
STREET ADDRESS *
Your answer
CITY, STATE, ZIP *
Your answer
PHONE *
Your answer
EMAIL ADDRESS *
Your answer
DATE OF BIRTH *
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DD
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YYYY
DO YOU CURRENTLY HAVE A PASSPORT *
You will need a passport to travel to Italy. If you do not have one, be sure to apply for it right away once you've been selected to join us. Passport applications can take several months to process.
If you do have a passport, which country is it from?
WHAT DO YOU DO FOR A LIVING *
Your answer
DO YOU HAVE ANY HEALTH ISSUES WE SHOULD BE AWARE OF WHILE YOU ARE TRAVELING WITH US? *
If you answered yes to any health Issues, please elaborate.
For example are you on any serious medications? Do you have any mobility issues?
Your answer
DO YOU HAVE ANY SPECIAL DIETARY REQUIREMENTS *
Your answer
PLEASE GIVE US A CONTACT IN CASE OF EMERGENCY, preferably a close relative: *
Please provide their NAME, MAILING ADDRESS, CITY, STATE, ZIP, PHONE, EMAIL ADDRESS and their relationship to you.
Your answer
YOUR EXPECTED TRAVEL PLANS: *
Where will you depart from, ie what city; when would you expect to arrive and depart Rome and Assisi
Your answer
ARE YOU PLANNING TO APPLY WITH A SPOUSE, SIGNIFICANT OTHER OR FRIEND? If so what is their name? Be sure to also send this application to them and have them fill it out so we know they are interested. *
Your answer
Please write below a few paragraphs explaining why you want to join the Pace e Bene Peace and Nonviolence Pilgrimage *
Questions to consider: How would this pilgrimage will help you in your spiritual journey and deepen your commitment to peace and nonviolence? What are your hopes and expectations? How have you been a peacemaker and practitioner of Gospel nonviolence, and how would this once in a lifetime pilgrimage compliment your peacemaking life, deepen it and encourage your next steps?
Your answer
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